Individual
HALEY JORDYN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
146 S THOMAS ST STE C, TUPELO, MS 38801-5328
(662) 840-0974
(662) 840-0388
Mailing address
146 S THOMAS ST STE C, TUPELO, MS 38801-5328
(662) 840-0974
(662) 840-0388
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
160005
MS
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19337
BACB
—
Enumeration date
07/06/2015
Last updated
05/02/2016
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